Organization
SUTTONS BAY BINGHAM FIRE RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PORTER FF EMT-P (ADMINISTRATOR)
(231) 271-6978
Entity
Organization
Contact information
Practice address
201 S. ST. MARY'S AVE, SUTTONS BAY, MI 49682-0280
(231) 271-6978
(231) 271-5742
Mailing address
P.O. 2122, RIVERVIEW, MI 48193-2122
(800) 926-6985
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
451005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182741950
—
MI
01
—
590D500090
BLUE CROSS PROVIDER NUMBE
MI
Enumeration date
06/06/2007
Last updated
02/04/2010
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